Unknown Individual – Podiatrist, NPI 1104090893
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
601, Gateway Boulevard, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463049658
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Mailing
1550, South Woodland Avenue, Michigan City, LaPorte County, Indiana, 46360, United States
MICHIGAN CITY, IN 463607125
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46304)
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